1. A nurse is reaching a client and his family how to care for the client’s tracheostomy at

home. Which of the following should the nurse include in the teaching?

a. Use tracheostomy covers when outdoors

2. A home health nurse is performing a follow-up visit for a client who has a gastrostomy tube

through which they receive intermittent feedings and medications. The client has recently

developed diarrhea. Which of the following findings should the nurse identify as a possible

cause of the diarrhea?

a. The client’s care giver washed out the

feeding bag once every 24 hours with warm

water

3. A nurse is talking with an older adult client who is contemplating retirement. The client

states, “I keep thinking about how much I enjoy my job. I’m not sure I want to retire.” Which

of the following responses should the nurse make?

a. Let’s talk about how the change in your hob

status will affect you.

4. A nurse is assessing a client who reports increased pain following pt. Which of the

following questions should t15he nurse ask hen assessing the quality of the client’s pain?

a. Sharp & dull

5. A nurse is caring for a client who is expressing anger about his diagnosis of colorectal

cancer. Which of the following actions should the nurse take?

a. Reassure the client that this is an expected

response to grief.

6. A nurse on a medical-surgical unit is caring for a client who has a new prescription for

wrist restraints. Which of the following actions should the nurse take?

a. Pad the client’s wrist before applying the

restraints

7. A nurse is performing a home safety assessment for a client who is receiving supplemental

oxygen. Which of the following observations should the nurse identify as proper safety

protocol?

a. The client uses no acetone nail polish remover.

8. Nurse caring for a client who has a respiratory infection. What technique should she use

when preforming nasotracheal suctioning?